TopazLover BSN, RN

Member

All Content by TopazLover

  1. TopazLover

    ulcer dressing won't stick

    I the wound is bad, get a consult for a wound care specialist. This can be covered by Medicare, I think, and then the dsgs would be covered expense so you could get exactly what she needs. Many...
  2. TopazLover

    How many failed IV attempts for new grad?

    Two, for sure. What about her technique is bad? Does she know a good vein from bad? If you doubt, seriously, that she completed the course, can this be
  3. TopazLover

    Death & Dying

    You might want to review some of the previous posts about dealing with death. There is much wisdom there. I think that if you can make yourself available to the families as much as the patients you...
  4. TopazLover

    Nursing Autonomy

    We have standing orders for many things. Some are really a menu of orders to have MD cross out what does not want. Other things are covered by protocols agreed upon by all the MDs involved. I work...
  5. TopazLover

    Nursing Autonomy

    For me, the best thing about not being a NP is not having as much responsibility. I like the autonomy of being able to give nursing care without having to take as much responsibility for initiating...
  6. TopazLover

    Patient demands fall precaution sign be taken down

    IMO. No, just document clearly that you did patient teaching and it was clearly understood. I have often wondered about HIPAA and those signs. It does not take a mental genius to know what they...
  7. TopazLover

    Patient Died from Med Allergy

    I have sent an alert to the Mods. asking that this post be edited for her
  8. TopazLover

    Do you recommend becoming a nurse?

    Yes, I have recommended nursing as a career option for some people who have expressed an interest. I also have discouraged others from starting. Each person is an individual and I have shared my...
  9. TopazLover

    Interpreting EKG strips

    Dubins, hands down, at least
  10. TopazLover

    How far do you drive?

    3 miles, 5 minutes. But we only have 14 miles of road so I could not be far away. I used to drive 35 miles on back roads that took close to an hour. I loved the down time. Now I am never unwound...
  11. TopazLover

    Who Was Nurse Rachett????

    I had to read the book for a course. Great read. I read it as a nurse. It was an English course so, of course, they found things I was not looking for. I loved the book, enjoyed the movie. Yeh,...
  12. I am guessing you thought perhaps cleaning poo, vomit, blood would be on the list. Not for me. The thing I hate most is when I can't get an IV line on the first try. I know it hurts and each time...
  13. TopazLover

    Today I Witnessed Something That Upest Me

    I am very sorry your experience was so negative. I am glad you came away from it able to find some positives in class to compare. I have worked LTC and know that some people can get to you at times....
  14. TopazLover

    Pain is subjective?

    I agree we should use all the tools we have to treat pain. We need to use things like heat, cold, massage, change of position, etc. If someone is addicted to medication I don't think it is our job to...
  15. DS called from 500 miles away to ask if his wrist was broken, I told him I thought it was, it was. Never did find out the whole story on that one. DD called from 3000+ miles away to say she had been...
  16. TopazLover

    Whoever invented scrubs, standup!

    I love my cargo pants. When I stop working I plan to wear them all the time so I can stash those cookies I have not had a chance to eat all these years. I would vote for the black boots if you go to...
  17. TopazLover

    Trach Care Kits

    Basically they help clean the inner cannula. You don't want something that will come apart like a cotton swab. These scrub and will get into the hard to reach
  18. TopazLover

    Do You Hate Being A Nurse?

    I love being a nurse and Amen to The Commuter. That says it all for
  19. TopazLover

    Charting?? What is it?

    Charting is documentation to describe information you found out by assessment, review of history, etc and then what you will plan to do about it. This is followed by documentation of what you...
  20. Congratulations on doing well. I am glad you are interested in why. There is a huge world out there for nurses who have that interest. How about continuing to NP? Diagnosis and treatment all the...
  21. TopazLover

    quick question....

    Many states allow RNs to determine death and that includes time. In our state they are to sign death certificate if they pronounce. Usually for births that I have been involved with, the MD is not...
  22. TopazLover

    Sick of the floor....

    I would think an ICU with strict visiting might be just what the nurse ordered.:wink2: I would think the soup issue is one that your manager should be battling. We want increased PO fluid intake and...
  23. TopazLover

    Is all Nursing bad/scary?

    I think part of it depends on the situation. Your personal and religious beliefs will be part of it. There are many situations that you might see where you say "This seems so senseless", these are...
  24. TopazLover

    Is all Nursing bad/scary?

    No, not all of it is bad/scary. What you read are many times a place to vent frustration with a health care system that is broken. That does not mean nursing is broken. There is nothing so rewarding...
  25. TopazLover

    Positioning and male catheterization

    I have found that holding the entire scrotum with non sterile hand sometimes help. There have been times when a second person is necessary to lift and manipulate the scrotum as they feel the cath....